Pulmonary sclerosing pneumocytoma or sclerosing hemangioma is an uncommon benign neoplasm, often asymptomatic, affects middle-aged women and usually found incidentally as solitary pulmonary nodule on radiologic examination. It is thought to be derived from incompletely differentiated respiratory epithelium. Histologically, it is distinctive neoplasm of the lung and shows two epithelial cell types, surface cells, and round cells with four architectural patterns, papillary, sclerotic, solid, and hemorrhagic. Preoperative diagnosis of this tumor is difficult, and it is now generally accepted that surgical excision alone is curative without the need for additional treatment.